Claims Associate Analyst
The Cigna Group
full-time
Posted on:
Location Type: Remote
Location: Montana • United States
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About the role
- Investigate and evaluate insurance claims by reviewing claim forms, documentation, and related records
- Determine coverage eligibility in accordance with policy terms and guidelines
- Use multiple methods of investigation to gather information and support claim resolution
- Negotiate claim settlements with claimants within established authority limits
- Communicate professionally with service providers, attorneys, policyholders, and other involved parties
- Prepare and complete required documentation, analyses, and claim-related outputs accurately and on time
- Identify trends or issues and provide recommendations for process improvements
- Prioritize assigned work, manage deadlines, and meet quality and productivity expectations
- Collaborate with Claims team members and escalate complex issues as appropriate
Requirements
- Experience in claims processing, insurance, customer advocacy, or a related analytical or administrative role
- Strong attention to detail and ability to review and interpret documentation
- Effective written and verbal communication skills
- Ability to manage multiple priorities and meet deadlines
- Basic analytical and problem‑solving skills
- Prior experience working with insurance claims or coverage determinations (preferred)
- Familiarity with claims systems and documentation standards (preferred)
- Experience communicating with external parties such as providers or legal representatives (preferred)
Benefits
- Health insurance
- Internet connection must be through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claims processinginsurancedocumentation reviewcoverage determinationanalytical skillsproblem-solving skills
Soft Skills
attention to detaileffective communicationtime managementprioritizationcollaboration